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General NPI Number Information
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NPI Number | 1659179018
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Entity Type | Organization
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Legal Business Name | HERN ASSOCIATES INC
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Dates
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Enumeration Date | 03/03/2025
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 160 NW 176TH ST STE 202-1
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-5023
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Country | US
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Telephone | 954-822-9496
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Fax |
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Provider Business Mailing Address
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Address Line | 160 NW 176TH ST STE 202-1
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-5023
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Country | US
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Telephone | 954-822-9496
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Fax |
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Authorized Official
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Title or Position | MD
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Name | DEEPAN MATHUR
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Credential | MD
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Telephone | 954-822-9496
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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